| NPI | 1376621706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M CONWAY Vicepresident 305-803-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH5106) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-07-21 |